Organization Active NPI

Medical and Specialty Transport EMS, LLC

  • Ambulance
  • Grand Prairie, TX
National Provider Identifier
1467043430
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MEDICAL AND SPECIALTY TRANSPORT EMS, LLC
Practice address
2955 Geneva Dr
Grand Prairie, TX 75054-0030
Phone
(903) 821-4466
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Anthony Blevins
Title
Owner
Phone
(903) 821-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

2955 Geneva Dr
Grand Prairie, TX 75054-0030

Mailing address

3540 E Broad St Ste 120-104
Mansfield, TX 76063-5633
Phone (903) 821-4466

National Provider Directory

National Provider Directory

Locations

3540 E Broad St
Mansfield, TX 76063
Phone (469) 688-9972

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1467043430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E BROAD ST STE 120-104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635633",
            "telephone_number": "903-821-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 GENEVA DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540030",
            "telephone_number": "903-821-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND SPECIALTY TRANSPORT EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-821-4666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.